Archive for Dr. David Duke


Posted in Cosmetic, Dental, Dentures, Smile Designs with tags , , , , , , , on June 27, 2011 by dukeslc

Have you been considering dentures in  Salt Lake City, UT? If so, come on in to Dental Designs of Salt Lake and meet with Dr. David Duke and his team for a free consultation today.

Below is some information about dentures along with its advatages and disadvantages. If you have any questions regarding dentures please feel free to give us a call at (801)355-2202.


What are Dentures?

Dentures are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support. There are two main types of dentures. Both Complete Dentures and Partial Dentures are finely crafted, custom-fitted. If you properly maintain your dentures they will appear natural and provide a perfect smile. Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing.

Who is a candidate for dentures?

If you’ve lost, or are losing, all of your teeth a Complete Denture is something to discuss with your cosmetic dentist. If some of your teeth remain and are healthy, a partial denture may be your way to a great smile.

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

Types of Dentures

Complete Dentures

These replace all of your teeth, upper or lower. Their comfort depends on muscle, bones, tongue, and saliva. Patients begin wearing conventional dentures after healing the teeth that were pulled.

Immediate Dentures

Immediate Dentures are placed all at once, and may require additional adjustments after the healing process. It can take months for your bone and tissue to stabilize after tooth extractions.

Upper Dentures

Upper Dentures, tend to be a bit easier to adjust to. These are made of the same materials as a Complete Denture, but are designed to provide you with upper teeth only.

Over Dentures

Over Dentures are a type of conventional denture similar to Complete Dentures. The difference is that not all teeth are extracted and they use one or more natural teeth for their support. This type provides greater stabilization during chewing. Over Dentures cost more and typically require more preparation dental appointments until the procedure is fully complete.

Partial Dentures

Designed to correct the gaps in your smile when only some of your teeth are missing. Metal attachments anchor the dentures to your natural teeth. Partial Dentures maintain tooth alignment by preventing your remaining teeth from shifting. Partial Dentures can also help prevent your loss of more teeth due to decay or gum disease.

Advantages & Disadvantages of Dentures

Pros and Cons of a Dentures


Dentures definitely provide a great smile with a very natural appearance. They’re made of very durable materials and last very long when properly taken care of. Typically dentures last from five to ten years. They also correct several problems, from speech to chewing, for many patients.


There’s no doubt that dentures take a little getting used to. There is maintenance involved, and initial speech issues to overcome (these are temporary and last only a couple of days). Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and not removing your dentures when needed. It is common that your mouth changes over the life of your dentures, so even though they last long, they may need to be replaced to achieve a better fit before they are worn out. With a denture a person typically chews at only 15-23% efficiency compared to a person chewing with their natural teeth. In the case of a full upper denture, the upper palate is covered which can reduce taste of foods you’re chewing.

Before Dentures Procedure
After Dentures Procedure

Before                                                                      After


Cosmetic Crowns

Posted in Cosmetic, Crowns, Dental with tags , , , , , , on June 23, 2011 by dukeslc

 If you have been considering getting cosmetic crown work done in Salt Lake City, here is some information that will help you understand the procedure in which it is preformed.

What is a Crown? 

A crown is like a cap that goes over a tooth preparation. Sometimes, when a tooth is very heavily restored, its multiple fillings may not look good or last long because even the strongest filling materials have their limitations. The most durable solution for restoring badly damaged teeth is to prepare the tooth for a crown. The crown not only protects remaining tooth structure, but also restores the original appearance of the tooth.


Unlike fillings, crowns cannot be constructed in one visit. The dentist must first take impressions of your mouth to make some study models and also to construct temporary crowns, usually made of resin. Study models help the dentist plan the case. Every tooth is unique and will require the dentist to exercise judgement on where to trim the tooth and how much to trim. For cosmetic cases where tooth positions are changed by crowning, the dentist may have to discuss his plans with the patient before proceeding to the preparation stage.

Teeth which are still vital will feel sensitive when trimmed, so a local anaesthetic is usually given. This is to make space for the crown and adequate clearance is absolutely necessary. The thicker the crown, the stronger it is. Once the preparation is complete, the dentist takes an impression of the prepared teeth with a rubbery material. The final crowns will be fabricated on this impression. At the end of the crown preparation visit, temporary crowns are cemented to protect the remaining tooth structure.

When the permanent crown is completed in the laboratory (usually takes about a week), the temporary cowns are removed from the mouth to be replaced by the porcelain crown which is then permanently cemented over the prepared tooth. The crowning process is thus completed.

Crowns can be very simple or complex, depending on the condition of the mouth and the needs of the patient. Mobile teeth are not suitable for crowning. Teeth with bleeding gums will also affect the accuracy of the impression. For cosmetic realignment, a considerable amount of skill and experience are required.



If you have other questions you need answered or if you are interested in scheduling an appointment, you may contact Dr. David Duke of Dental Designs of Salt Lake City, Utah at 801-355-2202.

Salt Lake City Dental Implants

Posted in Cosmetic, Dental, Implants with tags , , , , , on September 2, 2010 by dukeslc

Dental Implants are a wonderful way to replace missing teeth. It can be used for replace one tooth or many. Dental implants may be slightly expensive but there is a noticeable shift in dental insurance and many insurance carriers now cover 50% of the cost.

Free Consultation

The first step is to schedule a FREE consultation with our Salt Lake City Dentist, Dr. David Duke. He will access the bone and surrounding tissues to determine if the missing tooth site is suitable for a dental implant.

Pre-approval of Dental Insurance Coverage

We want to ensure that there are no surprises when it comes to paying for a dental implant. We submit pre-approval claims to all insurances to make sure we understand the patient’s coverage. While there may be restrictions and exclusions on your dental plan, we do our best to apply insurance coverage to the treatment.

Placement of the Dental Implant and Healing Cap

This procedure is done in a completely sterile environment with the best technology available. Dr. Duke uses titanium implants and expert training to provide the gentlest placement possible. A cap is placed on the implant, which allows the gums to heal over the next few weeks.

Removal of the Cap and Impression for a Crown

After several weeks, the bone and implant will be examined for stability and strength. If it is approved, an impression will be made for a Dental Implant Crown.  Our dental labs take an average of 1-2 weeks to make the final crown.

Placement of the Dental Implant Crown

The final visit will consist of placing the Implant Crown on the fully healed, permanent Dental Implant. Oral hygiene routines, speaking, and eating are not impaired or altered. Dental Implants offer the best tooth replacement option available. It is the best aesthetically pleasing, gentle, permanent solution!

We are located in Downtown Salt Lake City, Utah. Dr. David Duke offers free consultations to all those interested in receiving information about the procedure and meeting our staff. Check out our website for before and after photos and call us today!

Dental Implants

Posted in Dental, Implants with tags , , , , , , , , , , on July 22, 2010 by dukeslc

Dental Implants are one of today’s leading options for replacing missing teeth.  Thousands of patients enjoy the comfort and ease of having dental implants.  There is an average success rate of 95% for those who have dental implants.  If you are missing any teeth, dental implants are low-maintenance and are the most similar to natural teeth.  Their similarity to natural teeth offer no change in oral hygiene habits, no change in speech, and the ability to eat normal foods.  For all those who wonder if they are good candidates for dental implants, Dr. David Duke offers FREE Consultations.  The following are a few things the Dentist will consider before recommending a dental implant.

Strength and Density of Bone

For a dental implant to successfully work, the bone has to be thick and strong enough to support the implant.  After a tooth is extracted, some patients will experience bone loss in that area. Others may have genetic or health conditions that interfere with the regeneration of bone.  Should this be the case, a bone graft can be done to fill the extraction site and can aid the bone regeneration.  For those whose bone is naturally thin, a sinus lift can be done by an oral surgeon to increase the thickness of the Maxillary bone.

Health of the Teeth and Gums

The tissues and teeth need to be free of decay and bacteria in order for the implant to heal correctly.  The implant will have a greater chance of failing if there is constant exposure to bacteria while the bone and gums are trying to heal and grow.  For this reason, it is recommended that all tooth decay and/or gum disease be addressed before a dental implant is considered to replace a missing tooth.  If there is dental decay, dental fillings or crowns can be done to remove and replace it. To prevent gum disease, patients are to have regular cleanings with the hygienist. For those who already have gum disease it recommended to have special deep cleanings 3-4 times per year to prevent it from getting worse.

Oral Health and Smoking Habits

The oral health and habits will be addressed before placing a dental implant.  Patients with poor oral hygiene and those who are heavy smokers are asked to change their habits.  The risk of dental implant failure increases significantly in smokers and patients must typically stop smoking before a dental implant is considered.  Correct home care of teeth and gums is vital to a healthy mouth and provides an optimal environment for dental implants to successfully replace missing teeth. 

 Protecting the Implant and Bruxism

The functional use and force placed on the implant must be taken into consideration before placing an implant.  Just like any other object, dental implants and the dental crowns placed on them will experience wear and tear from normal, daily use.  The force and pressure placed on the implant from chewing, speaking, clenching, or grinding (also known as bruxism) must be carefully examined.  If these forces are too much for the implant or surrounding bone to tolerate, the likelihood of failure will increase significantly.  Correct positioning, straight tooth alignment, correct crown size, and the changing of grinding habits will aid in the success of the dental implant.  If bruxism cannot be stopped, a custom-made night guard can help protect the crown and dental implant.

 Other Health Conditions

Certain health conditions, such as Type II diabetes, can  increase the failure rate of dental implants.  For those with this health condition, it is common to have low amounts and height of bone in which to place an implant.  Type II Diabetes can also contribute to poor blood circulation which may interfere with the healing of bone and gum tissues.  Poor blood circulation can also increase the chance of infection once the implant is placed.

Dental Implants have a typical estimated success rate of 95% when all of the above conditions are correctly considered and solved.  With all we know today about the human body and dental implants, there remain about 5% of people whose implants fail for unknown reasons.  The dental implants are made from titanium, which has been proven as a material that the body typically will not reject as a “foreign material.”  With this knowledge and all of our sound technology, the success rate is far greater than the possible failure rate. Thousands of people have implants are placed every year and enjoy the excellent tooth replacements.

For all those interested in dental implants, we welcome you to have a FREE CONSULTATION in our Salt Lake City Dental Office.  Dr. Duke has practiced Dentistry for over 24 years and specializes in Dental Implants.  If you would like more information, please visit our website or call (801)355-2202.  We look forward to meeting you and answering any questions you may have!

The Smile You’ve Always Wanted with Invisalign!!

Posted in Cosmetic, Dental, Invisalign with tags , , , , , , on February 23, 2010 by dukeslc

Getting your teeth straightened isn’t something just for teenagers anymore. Many adults just like you who have felt uncomfortable with their smiles now have straight, healthy teeth. You can, too! If you weren’t able to get your teeth straightened when you were younger, now is the time to find out more about Invisalign–the clear alternative to metal braces and wires.

Treatment with Invisalign is quick and easy. With Invisalign, you don’t wear metal braces. Instead, your teeth are straightened by wearing a series of clear plastic aligners, or clear braces. The aligners are so inconspicuous that most people won’t be able to tell you’re wearing them. You’ll wear each set of clear aligners for about two weeks at a time, while your teeth move little by little toward the smile you’ve always wanted. The aligners are worn all the time, except when you’re eating, drinking anything but water, brushing, and flossing. Because the clear aligners are removable, you can still eat all your favorite foods.

We can’t tell you exactly how long your treatment will take. But, on average, Invisalign treatment takes about one year. The cost of treatment is similar in cost to traditional braces. In addition, if you have orthodontic coverage, Invisalign is often covered to the same extent as traditional braces. Dr. Duke also offers a variety of affordable payment plans. Our office will be happy to work with you on all of the insurance and financial details.

Be one of the many patients Dr. David Duke has treated who are enjoying their new smiles. Call our Salt Lake City Dental office today at 801-355-2202 for a free consultation or check out our website for more information.  Don’t hold back–straight teeth are now within your reach!